A patient with a history of rheumatoid arthritis managed wit…
A patient with a history of rheumatoid arthritis managed with home prednisone presents to an urgent care clinic with a fractured right radius secondary to ground-level fall. The patient reports right arm pain and recent fatigue, but no other symptoms. Vital signs include heart rate 66, blood pressure 162/94, oxygen saturation 99% on room air. Labs are notable for blood glucose 240. Physical exam findings include centralized obesity and buffalo hump. What differential diagnosis is most likely causing centralized obesity and presence of a buffalo hump?